Pasco Vision Clinic Ps
Pasco Vision Clinic Ps is a healthcare organization registered as Optometrist in Pasco, WA, holding Type 2 (organization) NPI 1104851690 since 2006. The authorized official on file is James Sullivan, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104851690 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pasco Vision Clinic Ps |
| Practice address | 2715 W COURT ST, Pasco, WA, 99301 |
| Phone | 5095478409 |
| Fax | 5095473751 |
| Enumeration date | 2006-07-12 |
| Last updated in NPPES | 2026-05-19 |
Authorized official
| Name | James Sullivan |
|---|---|
| Title | President |
| Phone | 5095478409 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 152W00000X | Optometrist | Primary | 38 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265729354 | Medicaid | WA | — |
| CK6046 | Other | WA | RAILROAD MEDICARE |
| 0056740 | Other | WA | DEPT OF LABOR & INDUSTRY |
| 1568661924 | Medicaid | WA | — |
| 1104851690 | Medicaid | WA | — |
| 2300028 | Medicaid | WA | — |
| 1992802656 | Medicaid | WA | — |
Copy-ready billing details
Provider: Pasco Vision Clinic Ps NPI: 1104851690 Taxonomy: 152W00000X (Optometrist) Address: 2715 W COURT ST, Pasco, WA, 99301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992802656 | James Sullivan | Individual | Optometrist | Pasco, WA |
| 1265729354 | William Sullivan | Individual | Optometrist | Pasco, WA |
Verify this record
Cross-check NPI 1104851690 against the authoritative CMS record: view Pasco Vision Clinic Ps on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pasco Vision Clinic Ps?
Who is the authorized official for Pasco Vision Clinic Ps?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-19.